| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76830 |
Ultrasound, transvaginal |
2,998 |
2,515 |
$159K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,361 |
3,588 |
$155K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,080 |
996 |
$55K |
| 99215 |
Prolong outpt/office vis |
623 |
542 |
$44K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
837 |
606 |
$43K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
718 |
658 |
$40K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
381 |
282 |
$36K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
113 |
85 |
$5K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
75 |
39 |
$4K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
19 |
14 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
16 |
13 |
$779.88 |